Author/Authors :
Falsoleiman، Homa نويسنده , , Bayani، Baktash نويسنده Mashhad Cardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran , , Dehghani، Mashalla نويسنده Professor, Mashhad Cardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran , , Moohebati، Mohsen نويسنده Mashhad University of Medical Sciences , , Rohani، Atoosheh نويسنده Assistant Professor, Mashhad Cardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran ,
Abstract :
BACKGROUND: Coronary artery spasm is a transient narrowing of coronary arteries that slows
or stops blood flow through the artery.
CASE REPORT: We present a 42-year-smoker man without any medical problem who developed
syncope. Coronary angiography revealed diffuse significant narrowing of proximal left anterior
descending artery (LAD), 90% osteal stenosis of large obtuse marginal (OM), 90% diffuse
narrowing of proximal right coronary artery (RCA), which was relieved by intracoronary
administration of nitrate. He was discharged on calcium channel blockers and nitrates but one
month later developed syncope again and died.
CONCLUSION: Multivessel coronary artery spasm should be considered in young smoker
patients without any other coronary risk factors who present with syncope.
